2016 Wide World of Sales Conference Scholarship Application
Application Deadline Extended to November 27, 2015
Name:
E-mail:
Company Employed at:
Position:
Company Address:
Phone:
______
How long have you been employed with this company? _______________________
How long have you been employed within the industry? _______________________
Would you be able to attend Wide World of Sales in 2016 without a scholarship? _____No ______Yes
Does your employer pay for or reimburse for educational expenses? _____No ______Yes
If yes, do you qualify and how much would they pay? ______________________________________
List all ICCFA educational events you’ve attended in the last 5 years:
1. _________________________________ 3. _______________________________________
2. _________________________________ 4. _______________________________________
List all state association involvement in the last 5 years:
1. _________________________________ 3. _______________________________________
2. _________________________________ 4. _______________________________________
List all community involvement:
1. ________________________________
3._________________________________________
2. ________________________________
4. _________________________________________
List all professional achievements:
1. ________________________________ 3. _________________________________________
2. ________________________________ 4. _________________________________________
Mail: 107 Carpenter Dr., Suite 100, Sterling, VA 20164 | Fax: 703.391.8416 | Email: lgregory@iccfa.com
The ICCFA Educational Foundation is a federally tax exempt 501 (c) (3) charitable organization that supports
the educational programs of the International Cemetery, Cremation and Funeral Association.
Would you like to attend the 2016 Wide World of Sales
Conference, but need some financial assistance?
Apply for a scholarship from the
ICCFA Educational Foundation!
PURPOSE:
The purpose of this financial award is to provide assistance for active industry and community ICCFA
members to further their careers through educational opportunities.
CHECKLIST:
______ Completed and Signed Application (this page and the reverse page)
______ Essay: Please attach a short essay (up to 500 words) explaining how your intended experience to
the educational opportunity relates to your professional goals. Include why you chose to work in the
profession and how you intend to use the experience at the Wide World of Sales.
_______ Is your company a member in good standing with the ICCFA?
_______Yes
________No
If you have any questions, please call 1.800.645.7700
STATEMENT OF INTENT:
The information contained in this application is correct and complete. I am able to attend the 2016 Wide
World of Sales and would not be able to attend without a scholarship. I understand I cannot assign the
scholarship award to another person or automatically defer this scholarship to a different year.
_______________________________________
Signature
_______________________
Date
FAX, MAIL OR EMAIL YOUR APPLICATION NO LATER THAN NOVEMBER 27, 2015 TO:
ICCFA EDUCATIONAL FOUNDATION
107 Carpenter Drive, Suite 100, Sterling, VA 20164
Fax: 703.391.8416
Email: lgregory@iccfa.com